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NOV-18-04 D9:52 °ROGt-Colorado Division of Minara!s A GsaoQy +130386635ET <br /> <br />PER.Ml"L'TEE I~IA1~fE: <br />PERi~~IIT NO.: <br />OPERATION NA1~IE: <br />ANi\I~'ERSAR1c' DATE: <br />AIVT'UAL FEE DUB: <br />COUNTY: <br />Frank W Hewes <br />M-19'18-314 <br />?-231 P 002/0D2 <br />~- <br />F-?02 <br />/ /V ~ <br />a <br />NOU~ 2 ~ r.k ago- <br />iE3ewes Pit <br />November 22, 2004 al't°~ =' a "~•`"sr~ls & Geologq <br />$28].00 (Doc on ar before your anniversary date) <br />Rontt <br />According to C.R.S. 34-32.5-1 lE or C.ILS. 34-32-116, each year, on the aaniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to aFFected land, <br />reclamation accomplished to dare and during the preceding year, new disurbances that arc anncipatzd to actor <br />during the upcoming year, reclamation that will be performed during the coming year, the dates far the beginning <br />of active operations, and the dot: active operations ceased for the year, if any. <br />Pleat atta h ym~r rev;ced writtDgA any;r+nrt and annr.a! rfpDrt.~p to_ h;c form. please note chat art <br />adequately Iabeied map that clemly delineates and includes the above efentents ntay suffice fw• o written report. <br />Division records indicatE the Following prnnit[ee contact information. Please vcxify and make any necessary <br />changes: <br />Perrruttee Contact: Nathan W. Hewes <br />Pemtittee Name: Frank ti' Hawes <br />Address: C/0 Hcwcs & Hewes, Inc. <br />Box E <br />Toponas, CO 8Q479 <br />Phone Number: (970) 638-0h44 <br />Fax i`Iumbrr: <br />Mike Jones 303-92R-5563 <br />Kirk J. Ebert <br />C/0 King Mountain Gravel, LLC <br />7276 W. Mansfield Ave. <br />Lakewood, Colorado 80235 <br />303-988-6286 _ <br />303-986-2771 <br />if you nave additional continents and.or information that should be provided to the Livision, please provide it <br />below or attach it to this form along with your written report and map. Annua] Tteport instructions arc enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />November 19, 2004_ <br />Date <br />